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While age, ethnic differences, family history, and genetic abnormalities such as BRCA1 and BRCA2 remain important, smokingparticularly long-term and heavy useemerges as a modifiable risk factor that needs deeper consideration

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The recent emergence and extensive marketing of novel tobacco products, such as electronic nicotine delivery systems (ENDS or e-cigarettes) and heated tobacco products (HTPs), present additional challenges.12, 13, 14 Tobacco control policies are crucial for improving individual health, reducing social health disparities, lowering national medical costs, and enhancing societal productivity

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